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Description The Utilization Management Nurse utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are ..
Description Humana is seeking a marketing intern who will 'virtually' join the Physician Marketing team during the summer of 2021. As background, the Physician Marketing team is comprised of marketing professionals ..
Description The Medical Coding Coordinator 3 extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical ..
Job Information Humana Director, Informatics in Montpelier Vermont Description The Director, Informatics coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights from ..
Description Responsibilities The Care Management Support Assistant 3 assists in ensuring TRICARE beneficiaries receive the highest quality health care for Autism Spectrum Disorder (ASD) related services in accordance with the Autism ..
Job Information Humana Medical Coding Coordinator 3- Remote USA in Montpelier ... Vermont Description The Medical Coding Coordinator 3 extracts clinical information from a variety of ... patient records. The..
... kidney care vendors Responsible for Clinical Audits throughout the year, as ... coordination between vendors and Humana clinical programs Develops into a Kidney ... Kidney SME working with Humana..
... to obtain desired productivity and clinical outcomes for all care management ... researching and the development of clinical practice guidelines and to ensure ... team to ensure technology supports..
Job Information Humana UM Administration Coordinator 2 - Work at Home ... (Thursday-Monday Schedule) The UM Administration Coordinator 2 contributes to administration of ... utilization management. The UM Administration Coordinator..
Description The Utilization Management Nurse utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse work assignments are varied ..
Description The Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. Makes decisions on ..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ..
Job Information Humana UM Administration Coordinator 2 - Part Time - ... Sunday Schedule) The UM Administration Coordinator 2 contributes to administration of ... Join Us! The UM Administration Coordinator..
... The UM Specialist /UM Administration Coordinator 2 contributes to administration of ... utilization management. The UM Administration Coordinator 2 performs varied activities and ... UM Specialist / UM Administration..
Description The Project Manager manages all aspects of a project, from start to finish, so that it is completed on time and within budget. The Project Manager work assignments are varied ..
Description The Consumer Service Operations Representative 3 is responsible for the daily activities across multiple service functions area. The Consumer Service Operations Representative 3 performs advanced administrative/operational/customer support duties that require ..
... Information Humana Utilization Management Administration Coordinator in Montpelier Vermont Description The ... Vermont Description The UM Administration Coordinator 2 contributes to administration of ... hiring for a UM Administration..
Description The Care Management Support Assistant 3 contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal ..
Description The Quality Compliance Professional 2 completes annual quality reviews and research. The Quality Compliance Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate ..
... person health experiences! Through policy, research, provider/clinical insights and a population health ... Value proposition & ROI modeling Research experience Experience working in a ... of Benefits of Value-Based..
